How much rates vary
Facilitymedian $55 · 10th to 90th $35 to $912Professionalmedian $40 · 10th to 90th $32 to $55
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $35.48 Median $41.69 Typical High $54.95 | Facility | None | $35.48 | $41.69 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | None (both parts) | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $13.49 | $13.49 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | TC · Technical part | $21.88 | $21.88 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $30.20 | $36.31 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $20.89 | Professional | 26 · Professional part | $17.38 | $19.05 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $660.69 Typical High $891.25 | Facility | None | $44.67 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $32.36 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $13.80 | $21.38 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $27.54 | Professional | TC · Technical part | $19.05 | $23.44 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $23.44 Typical High $38.02 | Facility | None | $14.45 | $23.44 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $24.55 Typical High $44.67 | Professional | None (both parts) | $13.18 | $24.55 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $35.48 | $44.67 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $16.98 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $25.12 | $43.65 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $107.15 Median $912.01 Typical High $2,187.76 | Facility | None | $107.15 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $40.74 | $51.29 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $15.49 | $18.62 | $26.92 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $31.62 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $58.88 | Professional | None (both parts) | $31.62 | $39.81 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $14.79 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $23.99 | $35.48 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | 52 · Reduced service | $17.78 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.94 |
Where Indiana sits
The same service costs 2.7 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Indiana· 33rd of 51
$40.74
MN $83.18UT $30.90
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.